Functional status of surgically treated pineal cyst patients

Surgical Neurology International
Joham Choque-VelasquezJuha Hernesniemi

Abstract

Microsurgical removal represents a well-accepted treatment option for symptomatic benign pineal cysts (PCs). However, very few studies have quantitatively evaluated the functional status of surgically treated PC patients. A detailed analysis of preoperative, immediate postoperative, and long-term clinical and radiological characteristics was performed. The functional status of the patients was categorized using the modified Rankin scale (mRS) and the Chicago Chiari Outcome Scale (CCOS). In addition, a comparative analysis between pediatric and adult patients with PCs was carried out. Overall, pediatric patients experienced better long-term mRS scores than adults. The differences between the pre-, the immediate post-, and the last postoperative mRS of the patients were statistically significant for the total population (P < 0.001). All patients obtained a CCOS of 11 or more, which reflects a good/optimal result after microneurosurgery. The type of the surgical approach was independently associated with the postoperative complications (P < 0.01), more frequently reported with the midline supracerebellar infratentorial (SCIT) approach than with its paramedian modification. The functional status of properly selected symptomatic pat...Continue Reading

References

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Aug 23, 2017·Pediatrics·Amy Peykoff HardinUNKNOWN COMMITTEE ON PRACTICE AND AMBULATORY MEDICINE
Nov 24, 2018·World Neurosurgery·David I PitskhelauriAlexander Z Sanikidze
Sep 19, 2019·Surgical Neurology International·Joham Choque-VelasquezJuha Hernesniemi

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